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1316587751
SAMUEL MERRITT UEBELACKER
MERIDIAN, ID
NPI
1316587751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-1810)
Enumeration Date
2020-01-14
Last Update Date
2020-02-27
Business Address
SAMUEL MERRITT UEBELACKER PA-C
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642-6245
Phone number: 208-639-4900
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Mailing Address
SAMUEL MERRITT UEBELACKER PA-C
2855 E MAGIC VIEW DR
MERIDIAN, ID 83642-6245
Phone number: 208-639-4900
Copy
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